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Michelle L Andary

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

235 Wealthy St SE, Grand Rapids, MI 49503-5247

PECOS Enrollment

This provider is enrolled in PECOS as MICHELLE ANDARY.

Based on the most recent information from CMS, provider Michelle L Andary is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1841938685
Provider Type
Individual
Full Name
Andary, Michelle L
Title
Dr.
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2022
Last Updated
8/10/2023

Contact Information

Practice Location

235 Wealthy St SE, Grand Rapids, MI 49503-5247

(616) 840-8000

Unlisted Fax

Mailing Location

205 N East Ave, Jackson, MI 49201-1753

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5151015815 Michigan
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 5151015815 Michigan

Michelle L Andary

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mccarthy, Justin Timothy

Witzke, Jacquelyn

Smith, Meagan Ann

Hakopian, David Khosrawie

Spaulding, Elizabeth L

Mousigian, Marianne

Fechtner, Daniel

Bruinsma, Benjamin J

Hargis, Cora

Chang, Aaron Sung-En